Leaver's survey

Help us improve our working environment by filling out our questionnaire about working at CHFT

Leaver's Survey

NOTE: A red asterisk ( * ) indicates a field is mandatory, not optional. This field MUST be filled in.

Primary Information

Division:

Staff Group:

Start Date:

Leaving Date:

Reason for Leaving:

Did your manager have a conversation with you on your reasons for leaving?: Yes No

Does the Trust take positive action on health and well-being? Yes, definately
Yes, to some extent
No

During the last 12 months have you felt unwell as a result of work related stress? Yes
No

Equal Opportunities

Does the Trust act fairly with regard to career progression/promotion, regardless of ethnic background, gender, religion, sexual orientation, disability or age? Yes No Don't know

Appraisal *

In the last 12 months, have you had an appraisal, annual review, development review, or Knowledge and Skills Framework (KSF) development review? Yes
No
Can't remember

It helped me agree clear objectives for my work? Yes, definitely
Yes, to some extent
No

Contact Details

NOTE If you’re happy to be contacted please provide the following details here

Email address

Phone Number

Leaver's Survey

Primary Information

Satisfaction *

Health and Wellbeing *

Equal Opportunities

Appraisal *

Organisation

Contact Details